Source One Therapy, LLC

Primary specialty

Rehabilitation Clinic/CenterTaxonomy code 261QR0400X

Legal business name

SOURCE ONE THERAPY, LLC

Practice address

5425 W Spring Creek Pkwy
Suite 270
Plano, TX 75024-4236

Phone

(817) 291-1460

NPI assigned

Nov 5, 2015

Last updated

Mar 24, 2022By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

William Garret Harrell

Title

Coo

Phone

(972) 801-2190

Specialties & licenses 1

Addresses

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1446681600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1648080000000",
    "number": "1285007716",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 251728",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "750251517",
            "telephone_number": "972-801-2190",
            "fax_number": "972-801-2191"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5425 W SPRING CREEK PKWY",
            "address_2": "SUITE 270",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "750244236",
            "telephone_number": "817-291-1460"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOURCE ONE THERAPY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-11-05",
        "last_updated": "2022-03-24",
        "certification_date": "2022-03-24",
        "status": "A",
        "authorized_official_last_name": "HARRELL",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_middle_name": "GARRET",
        "authorized_official_title_or_position": "COO",
        "authorized_official_telephone_number": "972-801-2190"
    },
    "taxonomies": [
        {
            "code": "261QR0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Source 1 Medical Inc
• Source One North Plano LLC
• Source One Physical Therapy
• Source One Rehabilitation
• Source One Rehabilitation
• South Limestone Hospital District (Accel at Willow Bend)
• South Side Surgery PA
• South Texas Dental Associates, L.P.
• South Texas Progressive Radiology, PLLC
• Southern Butterfly Productions (Frisco Therapy Solutions)

• Rehabilitation Clinic/Center in Plano, TX
• Providers in Plano, TX by specialty
• Rehabilitation Clinic/Center in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 24, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.